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Individual
DR. MARK POTTER
Active
Individual
DR. MARK POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
921
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0781742
AETNA
MA
01
—
275461
HEALTH SOURCE
MA
01
—
37821
CIGNA
MA
01
—
4404373
UNITED HEALTHCARE
MA
01
—
715211
TUFTS
MA
01
—
Y35709
BCBS
MA
01
—
Y39404
BCBS
MA
Enumeration date
01/13/2007
Last updated
01/04/2008
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